| NPI | 1942899869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IA H160718) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: IA H160718) |
| 363L00000X Nurse Practitioner (Licence: IA H160718) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: IA H160718) | |
| 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: IA H160718) | |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-04-10 |